| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $3,235.94 | $4,570.88 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
U of Utah Health Plan
| Professional | $467.74 | $575.44 | $812.83 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |